Organization Active NPI

Lake Michigan Psychology and Wellness

  • Counseling Psychologist
  • Saint Joseph, MI
National Provider Identifier
1477450328
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
LAKE MICHIGAN PSYCHOLOGY AND WELLNESS
Practice address
4066 Red Arrow Hwy
Saint Joseph, MI 49085-9209
Phone
(269) 449-1348
Fax
(269) 999-1442
NPI assigned
Oct 23, 2026
Last updated
Oct 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christiana Oliveira, LP, LPC, NCC, PHD
Title
Owner
Phone
(269) 449-1348

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X Primary

Addresses

Primary practice location

4066 Red Arrow Hwy
Saint Joseph, MI 49085-9209

Mailing address

4066 Red Arrow Hwy
Saint Joseph, MI 49085-9209
Phone (269) 449-1348

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1792713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792713600000",
    "number": "1477450328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4066 RED ARROW HWY",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859209",
            "telephone_number": "269-449-1348",
            "fax_number": "269-999-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4066 RED ARROW HWY",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859209",
            "telephone_number": "269-449-1348",
            "fax_number": "269-999-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE MICHIGAN PSYCHOLOGY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-23",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A",
        "authorized_official_last_name": "OLIVEIRA",
        "authorized_official_first_name": "CHRISTIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-449-1348",
        "authorized_official_credential": "LP, LPC, NCC, PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.